Like the first album which served as a companion soundtrack to Nikki Sixx's first book The Heroin Diaries: A Year in the Life of a Shattered Rock Star, this album is a companion to Sixx's second book, This Is Gonna Hurt: Music, Photography, And Life Through The Distorted Lens Of Nikki Sixx, which was released on April 12, 2011.

Unlike its predecessor, This Is Gonna Hurt does not feature any spoken word.

The lead single from the album is "Lies of the Beautiful People" and was released on March 1, 2011.

[3] This Is Gonna Hurt debuted at #10 on the Billboard 200, selling 30,000 copies in its first week of release,[12] and at #1 on the Hard Rock Charts.

[13] All lyrics are written by James Michael and Nikki SixxThe album's credits and personnel can be obtained from AllMusic.